Blogs

The 7 Essential Tips for a Successful Office Holiday Party

Have an HR hangover from your last company function? Make your next holiday fun, safe, and respectful with these disaster-averting precautions!

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Sleep Apnea: Wake Up to the Problem

Be a Gold Member for a day - absolutely free! DOCS Gold Members get free webinars from national education leaders in a variety of topics, and now's the chance for anyone to try this great benefit on for size!

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Three Low-Tech HIPAA Violations that Could Haunt You

Not all HIPAA security breaches come from cyberspace. Have you seen any of these incidents in your office?

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Why Kids Have Better Long-Term Dental Behavior with Sedation Dentistry

Children with severe early childhood caries (ECC) can be difficult to treat due to behavior. With ECC rates increasing dramatically every year, what's a dentist to do?

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Alberta, Canada Sedation Regulations Now Under Review

In the wake of Resolution 37 being accepted by the ADA, regulatory boards in Canada have been examining their policies with regard to sedation training.

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Sedation of Two Complex Pediatric Patients

A clinician who treats adolescents under state funded managed care writes in with two complex patients, one with schizophrenia, the other with ADHD and seizures.

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Oral Infection? In Ancient Egypt, Just Grab a Beer.

Research has revealed that the ancient Nubians had access to modern antibiotics – 2000 years before they were invented!

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Sedation of Patient with Depression and ADD

What is the protocol for sedating a patient taking Lexapro, Wellbutrin, and Vyvanase? Should the patient skip any these medications prior to their appointment? DOCS Education faculty weigh in.

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Sealants in Schools: Thrift or Threat?

Would funding for dental care in low-income communities be better spent on preventative care? New research indicates the benefits of sealant programs outweigh the cost.

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Could You Be Getting More Out of Your Dental Laser?

New research highlights expanded functionality for dental lasers, which could make them a more attractive investment for the forward-thinking dentist.

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A member of DOCS Education needs clarification on what constitutes a sedation protocol, as well as the proper procedure for their patient.
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A member of DOCS Education asks:

I am showing some [D] interactions on Lexicomp for triazolam, diazepam, hydroxyzine and Ambien® as well as Norco®. We could skip the Ambien®, but I still have concerns about the Norco®. Any suggestions? This is a chronic pain patient.

Thanks


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A member of DOCS Education asks:

It seems I have an abundance of cops and nurses in the practice, and all seem to be taking some form of anti-anxiety meds or BP meds. Well, someone has to treat them and I have had great success with the DOCS protocol, but could use some suggestions here on an upcoming patient:

Patient is 5 9" / 220 lbs. He is a half-pack a day smoker. No snoring, or so he says. BP today was 148/89, HR 86'. I have seen diastolic pressure at 95 on a previous visit. Meds are as follows:


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A member of DOCS Education asks: My patient is a 21 year old female who presents for IV sedation and operative dentistry. She smokes 0.5 packs/day, reports she has bronchitis but has no medication for such. She also states she takes Depakote® for bipolar disorder and Propranolol for tachycardia. Lexicomp shows no interactions with the Depakote® and only a C rating for Fentanyl (a non-benzodiazepine) and Propranolol. No other interactions are listed.
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A Member of DOCS Education asks: The Sedation Dentistry Guidebook offers a form titled "Sedation Appointment Checklist." The checklist outlines some instructions specifically for smokers, specifically how long to refrain from smoking after a sedation appointment. To clarify, are we to use this form to communicate to patients how long they are not to smoke before their sedation appointment? I remember from the DOCS course that smokers were encouraged to smoke before and throughout the sedation appointment as needed. Do we offer this option to all patients that smoke, or only to those who smoke beyond a specific threshold of cigarettes per day? Off of that, what is the protocol for allowing a patient to smoke during the sedation appointment? Should we keep the pulse ox attatched to the patient and accompany them outside? Any clarification would be appreciated?
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A DOCS Education member brings this question to the forum: I would appreciate some input regarding this patient, a 56 year old female, 5 feet and 1.5 inches tall, 248 lbs. She is a non-smoker. I have an upcoming treatment appointment with her and I plan on using a Triazolam titration protocol with her starting with .25 mg of Triazolam one hour prior to her appointment. She reports the following medical conditions: Hypertension Diabetes Asthma Hay Fever Hypothyroidism Fibromyalgia
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